Vol. 65, No. 20
May 27, 2016
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Announcement: National High Blood Pressure Education Month — May 2016
Weekly / May 27, 2016 / 65(20);523
May is National High Blood Pressure Education Month. High blood pressure (hypertension) is a major contributor to heart disease and stroke, two leading causes of death in the United States.* High blood pressure affects one third of U.S. adults, or approximately 75 million persons, yet approximately 11 million of these persons are not aware they have hypertension, and approximately 18 million are not being treated (unpublished data) (1,2).
Certain groups are at increased risk for hypertension, including minorities and some women. In the United States, African-American men and women have higher rates of hypertension than any other race or ethnicity (3), and they are also more likely to be hospitalized for hypertension. Women with high blood pressure who become pregnant are more likely to have complications during pregnancy than are women with normal blood pressure (4). Hypertension can harm the mother’s kidneys and other organs, and it can cause low birthweight and early delivery. Certain types of hormonal birth control can also raise a woman’s risk for high blood pressure (5).
Hypertension affects persons of all ages: approximately one in four men and nearly one in five women aged 35–44 years have hypertension (3). New research also indicates that having uncontrolled high blood pressure during midlife (aged 45–65 years) increases the risk for dementia later in life (6,7). Vascular dementia—one of the most common types of dementia—is usually caused by the impact of multiple strokes over time, including small “silent” strokes that occur unnoticed. Hypertension is the main cause of these strokes (6,7).
Most persons with uncontrolled hypertension have health insurance (82%) and see their providers at least twice a year (62%), but their hypertension remains undiagnosed (8). An important goal of the Million Hearts initiative is to equip health care providers with evidence-based tools and resources to identify and connect with these patients with undiagnosed hypertension.
In recognition of National High Blood Pressure Education Month, CDC and Million Hearts urge patients and health care professionals to learn more about the risks for high blood pressure at any age and encourage health care professionals to take steps to identify and treat patients with undiagnosed hypertension. Health care professionals can take advantage of evidence-based strategies and interactive tools and resources at http://millionhearts.hhs.gov. Additional information about hypertension is available at http://www.cdc.gov/bloodpressure.
- CDC. CDC/Division for Heart Disease and Stroke Prevention Million Hearts Hypertension tracking. National Health and Nutrition Examination Survey, 2013–2014, unpublished estimates. Atlanta, GA: CDC; 2016.
- Yoon SS, Fryar CD, Carroll MD. Hypertension prevalence and control among adults: United States, 2011–2014. NCHS data brief, no 220. Hyattsville, MD: National Center for Health Statistics. 2015.
- CDC. Power down in May for National High Blood Pressure Education Month. Atlanta, GA: US Department of Health and Human Services, CDC; 2014.http://www.cdc.gov/Features/HighBloodPressure/
- Seely EW, Ecker J. Cardiovascular management in pregnancy. Chronic hypertension in pregnancy. Circulation 2014;129:1254–61. CrossRef PubMed
- Calhoun DA, Jones D, Textor S, et al. ; American Heart Association Professional Education Committee. Resistant hypertension: diagnosis, evaluation, and treatment: a scientific statement from the American Heart Association professional education committee of the council for high blood pressure research. Circulation 2008;117:e510–26. CrossRef PubMed
- National Institute of Neurological Disorders and Stroke. Mind your risks: research. Bethesda, MD: National Institutes of Health, National Institute of Neurological Disorders and Stroke; 2016.https://mindyourrisks.nih.gov/research.html
- Gorelick PB. Blood pressure and the prevention of cognitive impairment. JAMA Neurol 2014;71:1211–3. CrossRef PubMed
- Wall HK, Hannan JA, Wright JS. Patients with undiagnosed hypertension: hiding in plain sight. JAMA 2014;312:1973–4. CrossRef PubMed